SpokaneRecruiter
the smart solution for Spokane jobs

Transition of Care Coach (RN) - Spokane, WA

Company: Molina Healthcare
Location: Spokane
Posted on: February 10, 2019

Job Description:

Description: Job Description
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Knowledge/Skills/Abilities
------ Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions.
------ Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network, as needed or at the request of member.
------ Ensures member transitions to a setting with adequate caregiving and functional support, as well as medical and medication oversight as required.
------ Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for a safe transition.
------ Conducts face-to-face visits of all members while in the hospital and home visits of high risk members post-discharge.
------ Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline.
------ Educates and supports member focusing on seven primary areas (ToC Pillars)\: medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition, functional needs and or Home and Community-based Services, and advance directives.
------ Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
------ Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
------ Facilitates interdisciplinary care team meetings and informal ICT collaboration.
------ RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
------ RNs are assigned cases with members who have complex medical conditions and medication regimens.
------ RNs will conduct medication reconciliation when needed.
------ 40-50% local travel required.Qualification: Job Qualifications Required Education
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
Required Experience
1-3 years hospital discharge planning or home health.
Required License, Certification, Association
Active, unrestricted State Registered Nursing (RN) license in good standing.

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Education
Bachelor's Degree in Nursing
Preferred Experience
3-5 years hospital discharge planning or home health.
Preferred License, Certification, Association
Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM)

To all current Molina employees\: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Keywords: Molina Healthcare, Spokane , Transition of Care Coach (RN) - Spokane, WA, Education / Teaching , Spokane, Washington

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Education / Teaching Jobs


Entry Level Teacher (Pre-K-12) - No Experience Required, Apply by Marc
Description: Final Deadline: Applications should be submitted no later than Friday, March 1st, 2019. Who We Are Teach For America TFA is a leadership development organization focused on the systemic challenges facing (more...)
Company: Teach For America
Location: Spokane
Posted on: 02/19/2019

K-12 Teacher (Entry Level) - A New Year, a New Chance to Make a Difference
Description: Job Description br br Looking for a rewarding job opportunity with meaning and purpose Make 2019 a year of positive change. Apply to Teach For America and help shape the future of our country. br (more...)
Company: Teach For America
Location: Spokane
Posted on: 02/21/2019

Transition of Care Coach (RN) - Spokane, WA
Description: Description: Job Description br Job Summary br Molina Healthcare Services HCS works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated (more...)
Company: Molina Healthcare
Location: Spokane
Posted on: 02/10/2019


Current College Students - Summer Unity Coding Camp Teachers in South and East Bay
Description: This position manages the weekly program for approximately 20 students, including teaching the br curriculum, and supervising indoor and recess/lunch activities. The lead instructor also directs the (more...)
Company: TechKnowHow - Tech for Kids!
Location: Spokane
Posted on: 02/22/2019

Online English Teacher, part-time, work from home
Description: About Qkids br br Qkids is an interactive online teaching platform that connects English teachers to young language learners in real time with fun, user-friendly software. Founded in 2015, we are (more...)
Company: Qkids
Location: Spokane
Posted on: 02/21/2019

Weekend Online Teacher for Children
Description: The Employer Teach English Online OpportunityLooking for a flexible online teaching opportunity What if we said you could wear yoga pants while doing it We are seeking passionate educators to teach (more...)
Company: VIPKID
Location: Spokane
Posted on: 02/10/2019

K-12 Teacher, Open to All Academic Majors and Degree Types
Description: Final Deadline: Friday, March 1st, 2019. Who We Are Teach For America TFA is a leadership development organization focused on the systemic challenges facing children growing up in poverty. While potential (more...)
Company: Teach For America
Location: Spokane
Posted on: 02/13/2019

Entry Level Teacher (Grades Pre-K-12) - Apply by March 1st - Spokane
Description: Job Description Applications for the upcoming deadline should be submitted no later than Friday, February 1st, 2019. Who We Are Teach For America TFA is a leadership development organization focused (more...)
Company: Teach For America
Location: Spokane
Posted on: 02/16/2019

Pre-K-12 Teacher, Entry Level, Apply By March 1st - Spokane
Description: Job Description Applications for the upcoming deadline should be submitted no later than Friday, February 1st, 2019. Who We Are Teach For America TFA is a leadership development organization focused (more...)
Company: Teach For America
Location: Spokane
Posted on: 02/21/2019

Entry Level Teacher (Grades Pre-K-12) - Apply by March 1st - Spokane
Description: Job Description br br Applications for the upcoming deadline should be submitted no later than Friday, February 1st, 2019. br br Who We Are br br Teach For America TFA is a leadership (more...)
Company: Teach For America
Location: Spokane
Posted on: 02/11/2019

Log In or Create An Account

Get the latest Washington jobs by following @recnetWA on Twitter!

Spokane RSS job feeds